Individual provider · Type 1 NPI

Shantae Renee Johnson

Driver · Poinciana, FL

NPI number 1497304646 Active

Practice location

560 Big Sioux Ct
Poinciana, FL 34759-5927

Call (863) 205-7815 Map

Fax (863) 496-7722

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X221013 (FL)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

About NPI 1497304646

Shantae Renee Johnson's National Provider Identifier is 1497304646, issued on Sep 10, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Poinciana, FL. The record was last updated on Sep 10, 2019.